协和医学杂志
協和醫學雜誌
협화의학잡지
MEDICAL JOURNAL OF PEKING UNION MEDICAL COLLEGE HOSPITAL
2014年
4期
399-404
,共6页
冯淑菊%景亚琳%陈杭健%李正红%高广佩%王丹华
馮淑菊%景亞琳%陳杭健%李正紅%高廣珮%王丹華
풍숙국%경아림%진항건%리정홍%고엄패%왕단화
早产儿%母乳喂养%母乳喂养系统化管理
早產兒%母乳餵養%母乳餵養繫統化管理
조산인%모유위양%모유위양계통화관리
preterm infants%human milk feeding%systematic management of human milk feeding
目的：探讨应用母乳喂养系统化管理对住院早产儿实施母乳喂养的效果。方法收集2011年1月至12月和2013年1月至12月在北京协和医院新生儿重症监护室住院且符合一定入选条件早产儿的临床资料。2011年实施早产儿母乳喂养的常规宣教及护理，作为对照组。自2012年起实施母乳喂养系统化管理，对工作人员实行全员培训，对早产儿家属进行宣教干预，健全母乳收集、运送、保存、配置、加热、喂养等一系列制度，建立从早产儿入院到出院后母乳喂养的支持方案。2013年住院早产儿作为研究组。比较两组早产儿的母乳喂养情况、败血症发生率及住院天数。结果纳入研究的早产儿共116例，其中男54例，女62例；研究组53例，对照组63例。两组的性别、胎龄、出生体重、住院天数差异无统计学意义（P＞0.05）。研究组首次母乳喂养日龄低于对照组[（3.98±2.45） d比（5.05±1.76） d， P＝0.008]，7日内母乳喂养程度（42.98％比23.14％， P＝0.001）、14日内母乳喂养程度（60.27％比40.95％， P＝0.001）均高于对照组，住院期间达纯母乳喂养的早产儿比例高于对照组（75.48％比34.92％， P＝0.041），新生儿败血症发生率低于对照组（15.1％比23.8％， P＝0.012）。结论母乳喂养系统化管理是实现住院早产儿母乳喂养的有效方法。实施母乳喂养系统化管理可提高住院早产儿的母乳喂养率，减少医院感染的发生。
目的：探討應用母乳餵養繫統化管理對住院早產兒實施母乳餵養的效果。方法收集2011年1月至12月和2013年1月至12月在北京協和醫院新生兒重癥鑑護室住院且符閤一定入選條件早產兒的臨床資料。2011年實施早產兒母乳餵養的常規宣教及護理，作為對照組。自2012年起實施母乳餵養繫統化管理，對工作人員實行全員培訓，對早產兒傢屬進行宣教榦預，健全母乳收集、運送、保存、配置、加熱、餵養等一繫列製度，建立從早產兒入院到齣院後母乳餵養的支持方案。2013年住院早產兒作為研究組。比較兩組早產兒的母乳餵養情況、敗血癥髮生率及住院天數。結果納入研究的早產兒共116例，其中男54例，女62例；研究組53例，對照組63例。兩組的性彆、胎齡、齣生體重、住院天數差異無統計學意義（P＞0.05）。研究組首次母乳餵養日齡低于對照組[（3.98±2.45） d比（5.05±1.76） d， P＝0.008]，7日內母乳餵養程度（42.98％比23.14％， P＝0.001）、14日內母乳餵養程度（60.27％比40.95％， P＝0.001）均高于對照組，住院期間達純母乳餵養的早產兒比例高于對照組（75.48％比34.92％， P＝0.041），新生兒敗血癥髮生率低于對照組（15.1％比23.8％， P＝0.012）。結論母乳餵養繫統化管理是實現住院早產兒母乳餵養的有效方法。實施母乳餵養繫統化管理可提高住院早產兒的母乳餵養率，減少醫院感染的髮生。
목적：탐토응용모유위양계통화관리대주원조산인실시모유위양적효과。방법수집2011년1월지12월화2013년1월지12월재북경협화의원신생인중증감호실주원차부합일정입선조건조산인적림상자료。2011년실시조산인모유위양적상규선교급호리，작위대조조。자2012년기실시모유위양계통화관리，대공작인원실행전원배훈，대조산인가속진행선교간예，건전모유수집、운송、보존、배치、가열、위양등일계렬제도，건립종조산인입원도출원후모유위양적지지방안。2013년주원조산인작위연구조。비교량조조산인적모유위양정황、패혈증발생솔급주원천수。결과납입연구적조산인공116례，기중남54례，녀62례；연구조53례，대조조63례。량조적성별、태령、출생체중、주원천수차이무통계학의의（P＞0.05）。연구조수차모유위양일령저우대조조[（3.98±2.45） d비（5.05±1.76） d， P＝0.008]，7일내모유위양정도（42.98％비23.14％， P＝0.001）、14일내모유위양정도（60.27％비40.95％， P＝0.001）균고우대조조，주원기간체순모유위양적조산인비례고우대조조（75.48％비34.92％， P＝0.041），신생인패혈증발생솔저우대조조（15.1％비23.8％， P＝0.012）。결론모유위양계통화관리시실현주원조산인모유위양적유효방법。실시모유위양계통화관리가제고주원조산인적모유위양솔，감소의원감염적발생。
Objective To analyze the effect of systematic management of human milk feeding on the feed -ing of hospitalized preterm infants .Methods Preterm infants hospitalized at the neonatal intensive care unit of Peking Union Medical College Hospital from January to December 2011 and from January to December 2013 who met certain enrollment criteria were included and their clinical data were collected .The preterm infants in 2011 served as the control group , in which the parents were given routine education and infants given routine nursing . The systematic management of human milk feeding has been implemented since 2012 , including staff training , special education of the family members of preterm infants , management of human milk collection , delivery , stor-age, preparation, warming, and feeding, establishing a comprehensive plan system supporting human milk feed-ing both during hospital stay and after discharge .The preterm infants in 2013 were as the study group .The 2 groups were compared in terms of human milk feeding state , incidence of sepsis , and length of hospital stay . Results One hundred and sixteen infants were enrolled , including 54 boys and 62 girls, 53 in the study group and 63 in the control group .There were no significant inter-group differences in gender , gestational age , birth weight , and length of hospital stay ( P>0.05 ) .Compared with the control group , the study group had an earlier initiation of human milk feeding [(3.98 ±2.45) d vs.(5.05 ±1.76) d, P=0.008], higher percentages of human milk feeding in the first 7 days (42.98%vs.23.14%, P=0.001 ) and 14 days (60.27%vs.40.95%, P=0.001), a higher proportion of exclusively human milk fed infants (75.48%vs.34.92%, P=0.041), and a lower incidence of sepsis (15.1%vs.23.8%, P=0.012).Conclusions The implementation of systematic management of human milk feeding could effectively facilitate human milk feeding of hospitalized preterm infants , raise the human milk feeding rate , and reduce the incidence of nosocomial infection .
